How Does The Doctor Know I Have Prostate Cancer
Prostate cancer tends to grow slowly over many years. Most men with early prostate cancer dont have changes that they notice. Signs of prostate cancer most often show up later, as the cancer grows.
Some signs of prostate cancer are trouble peeing, blood in the pee , trouble getting an erection, and pain in the back, hips, ribs, or other bones.
If signs are pointing to prostate cancer, tests will be done. Most men will not need all of them, but here are some of the tests you may need:
PSA blood test: PSA is a protein thats made by the prostate gland and can be found in the blood. Prostate cancer can make PSA levels go up. Blood tests will be done to see what your PSA level is and how it changes over time.
Transrectal ultrasound : For this test, a small wand is put into your rectum. It gives off sound waves and picks up the echoes as they bounce off the prostate gland. The echoes are made into a picture on a computer screen.
MRI: This test uses radio waves and strong magnets to make detailed pictures of the body. MRI scans can be used to look at the prostate and can show if the cancer has spread outside the prostate to nearby organs.
Prostate biopsy: For a prostate biopsy, the doctor uses a long, hollow needle to take out small pieces of the prostate where the cancer might be. This is often done while using TRUS or MRI to look at the prostate. The prostate pieces are then checked for cancer cells. Ask the doctor what kind of biopsy you need and how its done.
Early Stage Prostate Cancer
If the cancer is small and localized, a doctor may recommend:
Watchful waiting or monitoring
The doctor may check PSA blood levels regularly but take no immediate action.
Prostate cancer grows slowly, and the risk of side effects may outweigh the need for immediate treatment.
A surgeon may carry out a prostatectomy. They can remove the prostate gland using either laparoscopic or open surgery.
Brachytherapy: A doctor will implant radioactive seeds into the prostate to deliver targeted radiation treatment.
Conformal radiation therapy: This targets a specific area, minimizing the risk to healthy tissue. Another type, called intensity modulated radiation therapy, uses beams with variable intensity.
Treatment will depend on various factors. A doctor will discuss the best option for the individual.
What Questions Should I Ask My Healthcare Provider
If you have prostate cancer, you may want to ask your healthcare provider:
- Why did I get prostate cancer?
- What is my Gleason score? What is my Grade Group? What do these numbers mean for me?
- Has the cancer spread outside of the prostate gland?
- What is the best treatment for the stage of prostate cancer I have?
- If I choose active surveillance, what can I expect? What signs of cancer should I look out for?
- What are the treatment risks and side effects?
- Is my family at risk for developing prostate cancer? If so, should we get genetic tests?
- Am I at risk for other types of cancer?
- What type of follow-up care do I need after treatment?
- Should I look out for signs of complications?
A note from Cleveland Clinic
Prostate cancer is a common cancer that affects males. Most prostate cancers grow slowly and remain in the prostate gland. For a small number, the disease can be aggressive and spread quickly to other parts of the body. Men with slow-growing prostate cancers may choose active surveillance. With this approach, you can postpone, and sometimes completely forego, treatments. Your healthcare provider can discuss the best treatment option for you based on your Gleason score and Group Grade.
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How To Tell If Your Cancer Has Metastasized
Prostate cancer metastasis may be suspected if you have specific symptoms such as new lower back pain or elevated liver enzymes. These may be signs your cancer has spread to your spine or your liver, respectively. If your prostate-specific antigen levels continue to rise despite treatment, especially if they are rising particularly fast, this may be a sign that cancer is metastasizing somewhere in your body.
Could It Be Vitamin D
In earlier research, a link between milk and prostate cancer has been attributed to a high calcium intake, possibly changing the production of a particular form of vitamin D within the body.
Vitamin D is an important regulator of cell growth and proliferation, so scientists believed it may lead to prostate cancer cells growing unchecked. But the evidence on this is limited, and the review adds little to this hypothesis.
Perhaps the reviews most surprising omission is mention of the World Cancer Research Fund Continuous Update Project report on prostate cancer. This rigorous global analysis of the scientific literature identified much stronger risk factors that should be considered as possible confounding factors.
For example, the evidence is rated as strong that being overweight or obese, and being tall , are associated with increased risk of prostate cancer. The exact reasons for this are not fully understood but could be especially significant in Australia where 74% of men are overweight or obese.
A new Australian study found a higher body mass index was a risk factor for aggressive prostate cancer.
For dairy products and diets high in calcium, according to the WCRF, the evidence remains limited.
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Can A Man Be Diagnosed With Prostate Cancer
Thanks to regular screening, most men are diagnosed at least five years earlier than they used to be. Most men are diagnosed with cancer that is very curable. In fact, many men are diagnosed with cancer that maybe shouldnt even have been found cancer that doctors call incidental, which means its just there, but it doesnt do anything.
Talking With Your Doctor
Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:
- Family doctors and internists
- Physician assistants and nurse practitioners
- Urologists, who are experts in diseases of the urinary tract system and the male reproductive system
- Urologic oncologists, who are experts in treating cancers of the urinary system and the male reproductive system
- Radiation oncologists, who use radiation therapy to treat cancer
- Medical oncologists, who treat cancer with medications such as hormone treatments and chemotherapy
- Pathologists, who identify diseases by studying cells and tissues under a microscope
View these professionals as your partnersâexpert advisors and helpers in your health care. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
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Psa Tests And Screening
Testing for cancer when you have no symptoms is called screening. There is no national screening programme in Ireland, as theres little evidence that screening would reduce deaths from prostate cancer. It also could mean men having unnecessary treatment for very slow-growing prostate cancer, which could cause side-effects that affect their lives more than the cancer would.
If youre worried
Talk to your GP about:
- Your risk of prostate cancer eg if you have close family members with prostate cancer
- The pros and cons of prostate cancer screening
- What the tests involve
- The decisions you might have to make if your PSA was raised
- How these decisions might affect your life. Eg having treatment and getting side-effects
Should I use a home PSA test kit?
Prostate problems are best diagnosed by your GP, who can take your medical history and carry out a physical examination, as well as doing the PSA test.
Remember – your PSA level can be raised for other reasons it doesnt mean you have prostate cancer. Its also possible to have cancer and a normal PSA level. Read more about understanding PSA test results.
Diagnosing prostate cancer
Your family doctor will talk to you about your symptoms. He or she may do some tests. For example:
Digital rectal examination Inserting a gloved finger into your back passage to see if your prostate feels normal. It can be a little uncomfortable but it doesnt take long.
What Is The Chance Of A Diagnosis Of Prostate Cancer
Around 17,000 new cases of prostate cancer are diagnosed each year in Australia. It affects mostly men in older age groups and is rare in men under 50 years of age.
The chance of developing prostate cancer is significantly higher in men who have a close relative with prostate cancer the risks are higher if the relative was diagnosed before the age of 60.
If you have a family history of prostate cancer, talk to your doctor.
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When To See A Doctor
Consult with your doctor if you experience any of the symptoms discussed on this page particularly if they have been going on for a while. You will need a thorough work-up to determine the underlying cause, which may or may not be prostate cancer.
Its important to understand that other diseases or disorders can share these same symptoms. Benign prostatic hyperplasia , also called enlargement of the prostate, and are quite common. Men with these benign conditions can experience symptoms more often and more severely than men with prostate cancer.
Erectile dysfunction is relatively common, especially as one ages, and can also have causes unrelated to prostate cancer, such as smoking or cardiovascular disease. Experiencing a lower amount of fluid during ejaculation can be related to something as simple as diet or dehydration.
Its important to keep track of your symptoms, determining whats normal or abnormal for your own body. If you are worried about a particular symptom, or if its interfering with a relationship, you should discuss your concerns with your primary care physician.
Prostate Cancer | Bills Story
Why Is Early Diagnosis Important
Early diagnosis is important because it allows this to happen much earlier. For young children with autism this means that the skills needed to reach their full potential are taught early when brain plasticity is much more pronounced and consequently the impact of intervention is much more comprehensive.
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With A Massager Strap
If youre playing with sex toys, you can really mix it up by playing with the different vibration settings, as well as pressure and depth.
- Pressure. Controlling pressure when using a toy is easier, especially when youre playing solo. Try pressing the toy against the prostate using more or less pressure till you find your sweet spot.
- Depth. Depth is another area where toys win out since reaching can make it hard to go deep, if thats what you crave. Try different sized anal toys or get a longer one that you can insert as deep as your bottom desires.
- Vibrations. You can buy prostate massagers that offer up multiple speed and pulse settings. Play with the different settings to find your preference. Up the vibes as you get closer to orgasm.
- Sensation. Some prostate massagers have an attached external stimulator to give your perineum some sweet lovin while the other end penetrates. Who doesnt love a hard worker?
Want a little more?
If your partner has a penis, you can kick things up a notch with penis-in-anus penetration. Prostate stimulation for you, penile stimulation for them and a happy ending for you both.
Different positions can make reaching and pleasuring the prostate easier. These positions work for external and internal prostate stimulation, alone and with a partner.
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Bone Loss And Cancer Treatment
Low testosterone levels in the blood can cause bone loss. The hormone treatments for prostate cancer aim to lower the amount of testosterone or block its action.
Hormone treatments include:
- drug treatments including goserelin , leuprorelin , decapeptyl
- surgery to remove your testicles
Bone loss is a common side effect. But how much bone loss you might have varies from person to person. The spine is most likely to be affected.
Not all hormone treatments cause bone loss, for example the drug bicalutamide doesnt.
Your nurse or doctor will tell you if they think you might be at risk of bone loss and in particular problems with your spine.
Contact them urgently if you have:
- any changes in sensation such as numbness, tingling
- have pain that doesnt go away or gets worse
- have any changes to opening your bowels or passing urine.
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Top 3 Supplements For Stronger Orgasms:
If youre not quite ready for prostate milking, consider one of the products above to start enjoying stronger orgasms and bigger semen loads. Maybe over time youll become more comfortable with the idea of prostate milking and consider giving it a try either alone or with some help from your partner.
Prostate milking is really just the act of stimulating your prostate glands. Although you may never have heard of it up until now, prostate milking is proven to have many important benefits, and can add a very enjoyable new twist to your sex life. One of the great things about prostate milking is that it benefits men of all ages.
We encourage you to explore this website for other resources and tips on improving both your overall sexual health and especially your semen production and sperm health. There are many things you can do to help improve your sexual pleasure and shoot more semen, enjoy stronger orgasms, and enjoy improved erections. Check out this website and find out how you can elevate your sexual performance right now!
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How Do You Give A Prostate Massage With Your Fingers
If, after talking through a few specifics, youre still not sure where to start, Brown-James has some techniques. Bring your pointer, middle, and ring fingers together, then push up into , Brown-James explains. Stimulating this area with gentle but firm strokes also stimulates the prostate. Its basically a playground down thereBrown-James recommends techniques like rubbing clockwise for 810 strokes, then going counterclockwise, stroking toward the scrotum or touching the penis while you massage your partners perineum. Even though youve hopefully discussed what youd both like beforehand, you and your partner should talk about what you think you might each like to do and feel and then, if you agree to test things out, try that next, making sure youre each being open about what feels good and what doesnt feel so good in the moment.
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The Difference Between Prostate Cancer And Bph
Doru Paul, MD, is triple board-certified in medical oncology, hematology, and internal medicine. He is an associate professor of clinical medicine at Weill Cornell Medical College and attending physician in the Department of Hematology and Oncology at the New York Presbyterian Weill Cornell Medical Center.
During your yearly physical, your doctor might do a rectal exam or request you get a blood test to check your prostate-specific antigen level checked. If your prostate is enlarged or your PSA test comes back high, your doctor may do a biopsy to determine if your abnormal results are caused by prostate cancer or BPH. Here’s what you need to know about the two conditions and their similarities and differences.
What Are Prostate Cancer Treatment Side Effects
Some prostate cancer treatments can affect the bladder, erectile nerves and sphincter muscle, which controls urination. Potential problems include:
- Incontinence: Some men experience urinary incontinence. You may leak urine when you cough or laugh, or you may feel an urgent need to use the bathroom even when your bladder isnt full. This problem can improve over the first six to 12 months without treatment.
- Erectile dysfunction : Surgery, radiation and other treatments can damage the erectile nerves and affect your ability to get or maintain an erection. Some men regain erectile function within a year or two . In the meantime, medications like sildenafil or tadalafil can help by increasing blood flow to the penis.
- Infertility: Treatments can affect your ability to produce or ejaculate sperm, resulting in male infertility. If you think you might want children in the future, you can preserve sperm in a sperm bank before you start treatments. After treatments, you may undergo sperm extraction. This procedure involves removing sperm directly from testicular tissue and implanting it into a womans uterus.
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Favorite Apps Products And Gadgets
With a simple tap, youll receive information about personalized prostate cancer treatment options to help manage your care. This free app includes questions to ask your doc, calendars to keep track of your appointments, and videos that highlight helpful resources. Downloading it is a great way to stay on top of your cancer!
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Tests At The Hospital
Your GP will refer you to hospital if they think you need more tests. You may have tests at a Rapid Access Prostate Clinic. These are special clinics set up to reduce waiting times for prostate cancer testing. Find out more about Rapid Access Prostate Clinics.
Tests you might have include:
- Mp-MRI This is a type of MRI scan that creates more detailed pictures of your prostate than a standard MRI. It may be done before you have a biopsy to help your doctors decide where to take samples of cells from.
- Trans-rectal ultrasound An ultrasound probe is put into your back passage. It uses sound waves to produce pictures of your prostate.
- Prostate biopsy A sample of the cells is taken from the prostate through your back passage using a needle. The cells are looked at under a microscope in the lab to see if there are any cancer cells. The biopsy can be done during the TRUS.
- Template biopsyA template biopsy takes more samples than a TRUS biopsy. It is done through the skin between your testicles and back passage . You doctor may recommend this test if your biopsy results show no sign of cancer but your doctor is still suspicious.
A urologist is a doctor who specialises in treating prostate, bladder and kidney problems.
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